Lecture 2 Flashcards
Strength- Based Approach
- Emphasizes identifying and leveraging individuals’ inherent capabilities, resources, and resilience to promote well-being.
Holism
The interconnectedness of the physical,emotional, social, and spiritual aspects of an individual’s well-being.
How do first nations spread health knowledge?
First Nations cultures have a rich tradition of oral storytelling. Health knowledge is often transmitted through stories, ensuring the continuity of cultural and health practices.
Name some First Nations Health Practices
- Diet
- Rest
- Massage
- Ochre
- Smoke
- Steam
- Heat
First Nations Cultural Considerations:
- Mens and womens business
- Eye contact
- Build respect and rapport
- listen and learn
- Holistic health
- Be flexible
- Dealing with mixed appointments
What is yarning?
A cultural way of learning, sharing and connecting through storytelling and conversation, building relationships and passing on knowledge.
What is the concept of holism in First Nations health philosophy?
It is the interconnectedness of physical, emotional, social, and spiritual well-being.
Why is “Connection to Country” important in First Nations health philosophy?
Land (Country) is integral to health, emphasizing harmony with nature for well-being.
How does community play a role in First Nations health?
Health is viewed collectively, with extended family and community support playing a crucial role.
What is the role of spirituality in First Nations health philosophy?
Spiritual well-being is essential, often involving connection to ancestral spirits and Dreamtime stories.
How does First Nations health philosophy approach disease prevention?
Through a focus on maintaining balance with rituals, ceremonies, and lifestyle choices rather than just treating illness.
What is a strength-based approach to healthcare?
It focuses on individuals’ strengths, resilience, and capabilities to empower them in achieving health.
Why is shifting from deficit discourse to strength-based narratives important for Indigenous health?
It empowers Indigenous people, acknowledges their resilience, and creates a more positive healthcare environment.
How does salutogenesis relate to a strength-based approach?
It focuses on factors that create health and well-being rather than those that cause disease.
What is yarning in the context of First Nations health?
A two-way, respectful conversation used to share knowledge and build understanding.
Why is yarning important in healthcare communication?
It allows for culturally appropriate dialogue and helps healthcare providers understand patients’ experiences.
How does yarning differ from traditional Western communication?
It is more conversational, builds consensus, and values all viewpoints equally.
Name some traditional First Nations health practices.
Plant, animal, or mineral-based medicine
Smoke ceremonies
Massage
Heat and steam therapy
Ochre application
What is Vis Medicatrix Naturae, and how does it relate to First Nations health practices?
It means “the healing power of nature,” aligning with Indigenous practices that utilize natural remedies for healing.
What is the life expectancy gap between First Nations and non-Indigenous Australians?
About 8 years lower for Indigenous Australians.
What are the leading causes of avoidable deaths among Indigenous Australians?
Coronary heart disease, diabetes, suicide, chronic obstructive pulmonary disease, and cancer
How does chronic low back pain (CLBP) impact First Nations Australians?
It is highly disabling and often under-researched in Indigenous communities.
What are some key considerations in providing culturally aware care?
- Building trust and respect
- Understanding Men’s and Women’s Business
- Using patient-centered care
- Practicing cultural humility and flexibility
- Being mindful of eye contact and body language
Why is flexibility important in providing care for First Nations Australians?
It accommodates cultural obligations, missed appointments, and holistic health approaches.
How can healthcare providers build better relationships with Indigenous patients?
By relinquishing control, learning about Indigenous history, and using respectful communication methods like yarning.
Name 7 health philosophies important to First Nations Australians
- Holism
- Connection to country
- Community & Family
- Spirituality
- Prevenative focus
- Cultural identity
- Cyclical nature of life
Define a strength-based approach to health care
Focuses on a person’s capabilities, resources, and resilience, rather than solely on their deficits or problems, aiming to empower individuals and foster their well-being
Describe the concept of yarning
A conversational process that involves the telling of stories as a way of passing on cultural knowledge
What are the statistics around life infant mortality for First Nations Australians?
- Indigenous child mortality rate was 141 per 100,000
- Twice the rate of non-indigenous
What is the life expectancy of First Nations Australians?
Males: 71.6
Females: 75.6
What are the leading five causes of avoidable deaths among First Nations Australians?
- Coronary heart disease (21% of avoidable deaths)
- Diabetes (12%)
- Suicide and self-inflicted injuries (11%)
- Chronic obstructive pulmonary disease (COPD) (8.8%)
- Cancer (8.0%)
Whate are 3 strategies that have been identified as important to guide practice when consulting First Nations people?
- Commit to building relationships by relinquishing control and understanding Aboriginal and colonial history.
2 .Learn about and use yarning for effective communication.
- Be flexible, humble, honest, and persistent, using reciprocity, reflection, and reflexivity.
What are 9 additional considerations to guide practice when consulting First Nations people?
- Respect Men’s and Women’s Business.
- Be mindful of eye contact norms.
- Build respect and rapport.
- Listen and learn from the patient.
- Engage in yarning.
- Use holistic health approaches.
- Prioritize patient-centered care.
- Be flexible in approach.
- Understand and accommodate missed appointments.
